AI Agents for Healthcare Billing

Intelligent Revenue Management™ for European Healthcare. Apylon helps providers increase revenue, reduce costs and streamline billing operations.

How we help our customers

We make healthcare billing accurate, compliant, and scalable

Providing healthcare is complex - getting paid shouldn't be.

Demand for healthcare is exploding and the catalog of treatments is evolving exponentially - payers enforce stricter rules and more rigorous claims reviews while billing workflows remain manual and error-prone. Apylon evens the scales.

Prevent revenue leakage. Eliminate underbilling and improve operational efficiency. Always bill compliantly.

Automate routine claims. Enable billers to concentrate on complex high value cases and exceptions.

Reduce denials and rework. Increase first-pass acceptance, lower disputes, corrections, and administrative overhead.

Improve cashflow. Optimise Time to Invoice and Days Sales Outstanding.

Meet your AI powered
Revenue Management Engine

We build your engine. Through applied machine learning on historical claims data and rule-based algorithms grounded in industry knowledge, Apylon creates your proprietary Revenue Management Engine.

Deterministic rules available to AI agents and humans
Auditable decision making — no black box
Single source of truth for payer contract interpretation
Continuously learning and self-improving

Products

Apylon works across the billing life-cycle with a mix of hosted applications, autonomous AI agents and integrated co-pilots.

Revenue Analysis visualization showing data grid patterns

Revenue Analysis. We do an initial intake to identify revenue opportunities and automation potential based on your claims data.

Billing Agent visualization showing automated processing

Billing Agent. Automates claims using payer rules, coding guidelines, and historical outcomes to ensure accurate submission.

Billing Co-pilot visualization showing real-time guidance

Billing Co-pilot. Supports medical billers with real-time guidance and validations for accurately handling complex claims.

Claim Auditor visualization showing rule-based review

Claim Auditor. Reviews claims against payer and coding rules to detect errors, missed charges, and compliance risks.

Clinical Documentation Integrity visualization

Clinical Documentation Integrity. Identifies documentation gaps that affect coding accuracy and reimbursement.

Denial Mitigation visualization showing risk detection

Denial Mitigation. Reduce denial rates by spotting risks up front and automatically create comprehensive appeals.

Platform

Get started in weeks, not months with our turn-key platform. When you're ready, integrate it into your existing workflows and systems for minimal change management.

Modern APIs. Take full advantage of your Revenue Management Engine inside your existing systems.

{
  "audit_id": "84a849c41",
  "status": "completed",
  "findings": [{
    "type": "billing_risk",
    "severity": "high",
    "confidence": 0.92
  }],
  "billing": {
    "amount": 1240.00,
    "currency": "EUR"
  }
}

AI agents. Speed up your claims processing and time-to-invoice with our autonomous AI agents.

Cases

Proven results from EU based hospitals

Real world results from our forward thinking hospital and clinic partners.

By building and employing their own revenue compliance engine, our partners have seen materially improved billing accuracy and financials at scale.

1,5-3,0%

Revenue uptake. Based on total claims value for revenue compliance.

22.569

Claims processed. And counting...

+40%

Automation ready claims. Historically we can automate at least 40% of claims to be fully touchless.

97%

Engine accuracy. The customer engines predict claims with 97% accuracy and our verification workflows sift out false positives.

Start building your Intelligent Revenue Management™ engine today. Improve billing completeness and workflow efficiency.

Book demo call

Everything we do at Apylon is secure and compliant by design. We employ the highest standards and see them as the foundation for successful long term value creation. Learn more in our Trust Center.